Introducing CARD (Comfort Ask Relax Distract) as a vaccine delivery program for community pharmacy-based vaccinations

Taddio, Anna

doi:10.1177/17151635221136489

Cited by 5 publications

(8 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For additional research about vaccination and CARD that is specific to the pharmacy context, the reader is directed to the other articles included in this supplement of the Canadian Pharmacists Journal. 1,12,13,19-21…”

Section: How To Play Cardmentioning

confidence: 99%

“…Figure 2 CARD (Comfort Ask Relax Distract) logic model 1 articles included in this supplement of the Canadian Pharmacists Journal. 1,12,13,[19][20][21] There are also 2 CARD webinars sponsored by the Public Health Agency of Canada that are relevant and freely available for viewing. One is an introductory video, and the other describes some of the research with CARD in community pharmacies.…”

Section: Additional Resources and Referencesmentioning

confidence: 99%

See 1 more Smart Citation

CARD (Comfort Ask Relax Distract) integration guide for community pharmacies administering vaccinations: How to play your best hand

Taddio

Rocchi

Bucci³

et al. 2022

Can Pharm J

View full text Add to dashboard Cite

Section: How To Play Cardmentioning

confidence: 99%

Section: Additional Resources and Referencesmentioning

confidence: 99%

CARD (Comfort Ask Relax Distract) integration guide for community pharmacies administering vaccinations: How to play your best hand

Taddio

Rocchi

Bucci³

et al. 2022

Can Pharm J

View full text Add to dashboard Cite

“…In separate articles in this series, we provide a guide to support pharmacies and pharmacy organizations with CARD implementation 13 as well as an introduction to the series. 14…”

Section: Introductionmentioning

confidence: 99%

Integration of CARD (Comfort Ask Relax Distract) for COVID-19 community pharmacy vaccination in children: Effect on implementation outcomes

Taddio

Morrison²,

Gudzak

et al. 2022

Can Pharm J

View full text Add to dashboard Cite

Introduction: Community pharmacists report that providing vaccinations can be challenging, particularly if the vaccine recipient is a child, because of heightened levels of fear. The objective of this study was to determine acceptability and feasibility of the CARD (Comfort Ask Relax Distract) system as a vaccination delivery framework for children receiving COVID-19 vaccinations in a community pharmacy setting. CARD incorporates evidence-based interventions that reduce fear and immunization stress-related responses in vaccine recipients and was demonstrated to be effective and feasible in other vaccination settings providing vaccinations to children and adults. Methods: This mixed-methods study involved 5 independent pharmacies (with 6 vaccinators) offering COVID-19 vaccinations to children between 5 and 11 years of age. Vaccinating staff and implementation leads from the pharmacy organization participated in a small-scale CARD implementation project (before-and-after design). Afterwards, they filled in quantitative surveys and provided qualitative feedback about their perceptions and experiences in focus group discussions. Qualitative data were analyzed deductively, using the Consolidated Framework for Implementation Research (CFIR). Results: The study was conducted between January 16 and March 20, 2022. Across both quantitative and qualitative measures, vaccinating staff reported positive attitudes about CARD and alignment with their professional roles. They reported that CARD reduced children’s fear and improved the vaccination experiences in children and parents and for themselves. Vaccinators reported increased confidence due to CARD. They reported compatibility of CARD interventions within their practice and that it was time neutral. They maintained use of some interventions after the study. They also provided suggestions and shared concerns about fidelity and future feasibility of continuing various components of the program. Conclusion: CARD was demonstrated to be acceptable and feasible by vaccinators performing vaccinations in children in community pharmacies.

show abstract

“…This study is part of a series included in this supplement to the Canadian Pharmacists Journal , which investigated Canadian pharmacists’ experiences with COVID-19 vaccination delivery and ways of improving the vaccination experiences for pharmacy staff and vaccine clients. 11 In the first article in this series, we report on community pharmacists’ experiences with COVID-19 vaccinations. 2 In this report, we examine the perceptions of these same pharmacists to CARD.…”

Section: Introductionmentioning

confidence: 99%

Community pharmacists’ perceptions of the CARD (Comfort Ask Relax Distract) system for use during vaccinations

et al. 2022

View full text Add to dashboard Cite

Introduction: We explored Canadian community pharmacists’ perceptions of the CARD (Comfort Ask Relax Distract) system, a vaccine delivery framework that integrates evidence-based interventions that reduce immunization stress-related responses (ISRRs). The objective was to introduce CARD to pharmacists and obtain their feedback to guide future implementation efforts for community pharmacy-based vaccinations. Methods: Eighteen pharmacists across all provinces participated in one-on-one moderated virtual interviews. A semistructured interview guide was used to guide the discussion and included questions about experiences with coronavirus disease 2019 (COVID-19) vaccine administration and perceptions of CARD as a framework for vaccination delivery in the pharmacy. In this report, we focus on feedback about CARD. Interviews were audio-recorded and transcribed verbatim and deductively coded using the Consolidated Framework for Implementation Research (CFIR). Results: The study was conducted from May 28 to August 16, 2021. Pharmacists’ responses were categorized in 3 CFIR domains: intervention characteristics, inner setting and characteristics of individuals. Overall, pharmacists were receptive towards CARD and thought it filled a current gap in practice, particularly for childhood vaccinations. Pharmacists reported learning techniques to make vaccinations more comfortable for their clients. They provided feedback on how specific interventions could be adapted for their practice (e.g., dissemination of client-directed education via appointment booking portals, provision of distraction items in waiting and vaccinating spaces). Discussion: This study provided preliminary evidence that pharmacists found CARD acceptable and appropriate for community pharmacy-based vaccinations. The data collected from this study were used to inform a small-scale implementation project with CARD during COVID-19 vaccine administration in children aged 5 to 11 years.

show abstract

Introducing CARD (Comfort Ask Relax Distract) as a vaccine delivery program for community pharmacy-based vaccinations

Cited by 5 publications

References 15 publications

CARD (Comfort Ask Relax Distract) integration guide for community pharmacies administering vaccinations: How to play your best hand

CARD (Comfort Ask Relax Distract) integration guide for community pharmacies administering vaccinations: How to play your best hand

Integration of CARD (Comfort Ask Relax Distract) for COVID-19 community pharmacy vaccination in children: Effect on implementation outcomes

Community pharmacists’ perceptions of the CARD (Comfort Ask Relax Distract) system for use during vaccinations

Contact Info

Product

Resources

About